• Shoulder Sprain


    A shoulder sprain is stretching or tearing of the ligaments that stabilize the shoulder. Ligaments are strong bands of tissue that cross joints and connect bones to each other.
    Capsule of Glenohumeral Joint
    Shoulder Joint Capsule
    Copyright © Nucleus Medical Media, Inc.


    Shoulder sprains may be caused by:
    • Falling on an outstretched arm
    • Forced twisting of the arm
    • A blow to the shoulder
    • Overuse or repetitive movement of the shoulder joint

    Risk Factors

    Factors that may increase your risk of a shoulder sprain include:
    • Playing sports, such as swimming, volleyball, baseball, gymnastics, and tennis
    • Occupations that involve:
      • Repetitive shoulder movements, including heavy lifting
      • Lifting at or above the height of your shoulder
      • Vibration of the shoulder
      • Irregular posture or movements
    • Poor coordination
    • Poor balance
    • Inadequate flexibility and strength in muscles and ligaments
    • Loose joints or connective tissue disorders


    Shoulder sprain may cause:
    • Pain, tenderness, and swelling around the shoulder
    • Redness, warmth, or bruising around the shoulder
    • Limited ability to move the shoulder and increased pain with movement


    You will be asked about your symptoms and how you injured your shoulder. The stability of your shoulder joint and the severity of the injury will be assessed.
    Tests may include:
    Shoulder sprains are graded according to their severity:
    • Grade 1—Some stretching with micro-tearing of ligament tissue
    • Grade 2—Partial tearing of ligament tissue
    • Grade 3—Complete tearing of ligament tissue


    Treatment includes:

    Acute Care

    Your shoulder will need time to heal. Avoid activities that cause pain or put extra stress on your shoulder.
    Ice may help decrease swelling and pain in the first few days after the injury.
    Pain Relief Medications
    To manage pain, your doctor may recommend:
    • Over-the-counter pain relievers, such as ibuprofen
    • Topical pain medication—creams or patches that are applied to the skin
    • Prescription pain relievers
    Note: Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.


    Extra support may be needed to help protect, support, and keep your shoulder in line while it heals. Supportive steps may include:
    • Brace or sling—You may need to wear a brace to keep your shoulder still as it heals. Do not return to activities or sports until your doctor gives you permission to do so.
    • Rehabilitation exercises—Begin exercises to restore flexibility, range of motion, and strength in your shoulder as recommended by your doctor or physical therapist.
    • Surgery—Surgery is rarely needed to repair a mild shoulder sprain without instability or dysfunction. However, in athletes earlier surgery may be considered to avoid recurrent injury.


    Shoulder sprains may not always be preventable. There are steps you can take to reduce your chance of getting a shoulder sprain. These include:
    • Wearing protective equipment and using proper technique while playing sports.
    • Keep shoulders, back, and chest strong with regular exercises to absorb the energy of sudden physical stress


    American Academy of Orthopaedic Surgeons http://www.orthoinfo.org

    American Orthopaedic Society for Sports Medicine http://www.sportsmed.org


    Canadian Orthopaedic Association http://www.coa-aco.org

    Canadian Orthopaedic Foundation http://www.canorth.org


    Benjamin HJ, Hang BT. Common Acute Upper Extremity Injuries In Sports. Clinical Pediatric Emergency Medicine. 2007;8(1):15-30.

    Shoulder problems. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Shoulder%5FProblems/default.asp. Updated April 2014. Accessed June 22, 2015.

    Shoulder separation. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00033. Updated October 2007. Accessed September 11, 2013.

    1/4/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Massey T, Derry S, et al. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.

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